Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm
Medicare pricing data for 10,898 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm (HCPCS code 12034) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $236.34, but hospitals typically charge $800.01 — a 3.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $236.34, your out-of-pocket cost would be approximately $47.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $184.50 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $287 | $817 | 22 | 71 | +21.6% |
| Connecticut | $285 | $901 | 123 | 376 | +20.7% |
| Alaska | $281 | $1,926 | 22 | 54 | +18.8% |
| Hawaii | $279 | $824 | 40 | 106 | +18.0% |
| California | $272 | $961 | 873 | 2,528 | +15.0% |
| Arizona | $256 | $797 | 234 | 994 | +8.4% |
| Massachusetts | $256 | $984 | 338 | 1,161 | +8.3% |
| Oregon | $255 | $907 | 138 | 359 | +8.1% |
| Florida | $253 | $743 | 904 | 3,072 | +6.9% |
| Colorado | $252 | $877 | 197 | 486 | +6.8% |
| Maryland | $252 | $698 | 216 | 747 | +6.7% |
| Montana | $251 | $633 | 56 | 164 | +6.1% |
| New Jersey | $248 | $1,098 | 226 | 512 | +4.8% |
| Washington | $245 | $778 | 257 | 770 | +3.7% |
| Virginia | $243 | $637 | 302 | 1,560 | +3.0% |
| Illinois | $243 | $867 | 393 | 1,116 | +2.8% |
| Rhode Island | $241 | $747 | 56 | 219 | +2.2% |
| North Carolina | $239 | $698 | 401 | 1,601 | +1.2% |
| Utah | $238 | $649 | 114 | 258 | +0.9% |
| Georgia | $238 | $788 | 307 | 1,197 | +0.9% |
| Pennsylvania | $238 | $665 | 534 | 1,621 | +0.8% |
| South Carolina | $238 | $809 | 241 | 898 | +0.6% |
| Nevada | $236 | $766 | 70 | 216 | +0.0% |
| Texas | $236 | $820 | 680 | 2,024 | -0.0% |
| Michigan | $233 | $736 | 323 | 781 | -1.4% |
| New York | $231 | $1,032 | 441 | 1,139 | -2.2% |
| Wyoming | $229 | $872 | 20 | 88 | -3.2% |
| New Hampshire | $224 | $891 | 84 | 376 | -5.3% |
| Delaware | $224 | $779 | 49 | 145 | -5.4% |
| Nebraska | $223 | $809 | 79 | 254 | -5.8% |
| Mississippi | $221 | $669 | 126 | 358 | -6.3% |
| Alabama | $218 | $613 | 169 | 554 | -7.7% |
| Minnesota | $217 | $970 | 224 | 772 | -8.1% |
| Idaho | $217 | $632 | 95 | 381 | -8.2% |
| Missouri | $216 | $756 | 253 | 742 | -8.5% |
| Tennessee | $215 | $684 | 274 | 990 | -9.0% |
| Maine | $214 | $643 | 57 | 169 | -9.4% |
| Ohio | $213 | $772 | 393 | 1,071 | -9.8% |
| Wisconsin | $213 | $1,173 | 249 | 761 | -9.9% |
| Oklahoma | $209 | $742 | 164 | 420 | -11.4% |
| Kansas | $208 | $711 | 135 | 533 | -11.9% |
| Louisiana | $207 | $734 | 128 | 278 | -12.5% |
| Arkansas | $206 | $647 | 114 | 536 | -12.9% |
| Indiana | $206 | $777 | 206 | 709 | -12.9% |
| Kentucky | $205 | $683 | 175 | 573 | -13.3% |
| Iowa | $198 | $929 | 147 | 369 | -16.4% |
| New Mexico | $194 | $780 | 51 | 137 | -17.8% |
| West Virginia | $192 | $699 | 56 | 212 | -18.9% |
| Vermont | $185 | $607 | 42 | 128 | -21.8% |
| South Dakota | $175 | $558 | 56 | 153 | -25.9% |
| North Dakota | $151 | $501 | 33 | 85 | -35.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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